Legend Oaks Healthcare And Rehabilitation - Waxaha has received an F grade based on CMS data, with a score of 9/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Waxahachie facility should carefully review its inspection history and quality metrics.
With 3.33 total nurse hours per resident per day, Legend Oaks Healthcare And Rehabilitation - Waxaha falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 33 deficiencies at Legend Oaks Healthcare And Rehabilitation - Waxaha, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.33 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.37 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.90 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.05 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 11, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 23, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Apr 13, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 14, 2024 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 14, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 2.3% | 3.0% | Better |
| On antipsychotic medication | 7.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 36.1% | 14.0% | Worse |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 22.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $41,215
How This Grade Was Calculated
This facility's grade of F is based on a score of 9 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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